首页|茶碱缓释片结合硫酸沙丁胺醇气雾剂治疗老年急性哮喘病人的效果

茶碱缓释片结合硫酸沙丁胺醇气雾剂治疗老年急性哮喘病人的效果

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目的 探究茶碱缓释片结合硫酸沙丁胺醇气雾剂治疗老年急性哮喘病人的效果。方法 选取2021年11月—2023年8月本院诊治的80例老年急性哮喘病人作为研究对象,按照随机数字表法将其分为两组,每组40例。观察组采用茶碱缓释片+硫酸沙丁胺醇气雾剂治疗,对照组采用单一的硫酸沙丁胺醇气雾剂治疗,比较两组治疗效果。结果 对照组治疗总有效率低于观察组(P<0。05);观察组不良反应发生率低于对照组(P<0。05);观察组在FEV1、PaCO2、FEV1/FVC、PaO2指标上优于对照组(P<0。05);观察组住院时间、哮喘发作减少50%时间短于对照组(P<0。05);治疗后,观察组IL-18、IL-4、hs-CRP水平低于对照组,IFN-γ水平高于对照组(P<0。05)。结论 对于老年急性哮喘病人来说,茶碱缓释片+硫酸沙丁胺醇气雾剂治疗效果显著,可减少不良反应发生,改善炎症因子水平,改善肺功能,促进康复,用药安全性高,值得推广。
Curative Effect of Theophylline Sustained-release Tablets Combined with Salbutamol Sulphate Aerosol on Elderly Patients with Acute Asthma
Objective To analyze clinical effect of theophylline sustained-release tablets and salbutamol sulphate aerosol in treatment of elderly patients with acute asthma in details.Methods The study period was from November 2021 to March 2023,80 elderly patients with acute asthma in our hospital were divided into the observation group (40 cases,treated with theophylline sustained-release tablets and salbutamol sulphate aerosol) and the control group (40 cases,with salbutamol sulphate aerosol only).Indicators were compared between two groups,including curative effect,adverse reactions,post-treatment lung function and arterial blood gas indicators,disease recovery time,and inflammatory factor levels.Results Total effective rate of the control group was lower than the observation group (P<0.05).Incidence of adverse reactions in the observation group was lower than the control group (P<0.05).FEV1,PaCO2,FEV1/FVC,and PaO2 indicators in the observation group were better than the control group (P<0.05).Length of stay and 50% reduction of asthma attacks in the observation group was shorter than the control group (P<0.05).After treatment,levels of IL-18,IL-4,and hs CRP in the observation group were lower than the control group,while IFN-γ level was higher than the control group (P<0.05).Conclusion Combination of theophylline sustained-release tablets and salbutamol sulphate aerosol can achieve significant curative effect on elderly patients with acute asthma,can reduce adverse reactions,improve inflammatory cytokine levels and lung function,promote recovery with high medication safety,which is worthy of promotion.

Theophylline sustained-release tabletsSalbutamol sulphate aerosolCurative effectAdverse reactionsArterial blood gas indicators

李庆芝

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肥城市老城街道社区卫生服务中心,山东 泰安 271601

茶碱缓释片 硫酸沙丁胺醇气雾剂 治疗效果 不良反应 动脉血气指标

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(28)